Date of Last Upload:
Monday, February 5, 2024
Student Enrollment Form
New Student Information
Select the Submit Application tab after you have filled in all information including students, primary and secondary family, and emergency/contacts. Use the tab buttons to select the pages to fill in the information.
*
Required fields are bold.
Student's Information
Primary Family Information
Secondary Family Information
Contact Information
Submit Application
Student 1
*
Last Name
*
First Name
Middle Name
Preferred Name
*
Date of Birth (mm/dd/yyyy)
*
Gender
<None>
Female
Male
Suffix
<None>
Race
<None>
African American
Asian
Caucasian
Hispanic
Native American
*
Select school year
<None>
2021-2022
*
Program Desired
<None>
PK2 2 days (Tu/Th)
PK2 3 days (M/W/F)
PK2 5 days
PK3 2 days (Tu/Th)
PK3 3 days (M/W/F)
PK3 5 days
PK4 3 days (M/W/F)
PK4 5 days
TK 5 days
*
Home E-Mail
Student 2
*
Last Name
*
First Name
Middle Name
Preferred Name
*
Date of Birth (mm/dd/yyyy)
*
Gender
<None>
Female
Male
Suffix
<None>
Race
<None>
African American
Asian
Caucasian
Hispanic
Native American
*
Select school year
<None>
2021-2022
*
Program Desired
<None>
PK2 2 days (Tu/Th)
PK2 3 days (M/W/F)
PK2 5 days
PK3 2 days (Tu/Th)
PK3 3 days (M/W/F)
PK3 5 days
PK4 3 days (M/W/F)
PK4 5 days
TK 5 days
*
Home E-Mail
Student 3
*
Last Name
*
First Name
Middle Name
Preferred Name
*
Date of Birth (mm/dd/yyyy)
*
Gender
<None>
Female
Male
Suffix
<None>
Race
<None>
African American
Asian
Caucasian
Hispanic
Native American
*
Select school year
<None>
2021-2022
*
Program Desired
<None>
PK2 2 days (Tu/Th)
PK2 3 days (M/W/F)
PK2 5 days
PK3 2 days (Tu/Th)
PK3 3 days (M/W/F)
PK3 5 days
PK4 3 days (M/W/F)
PK4 5 days
TK 5 days
*
Home E-Mail
Student 4
*
Last Name
*
First Name
Middle Name
Preferred Name
*
Date of Birth (mm/dd/yyyy)
*
Gender
<None>
Female
Male
Suffix
<None>
Race
<None>
African American
Asian
Caucasian
Hispanic
Native American
*
Select school year
<None>
2021-2022
*
Program Desired
<None>
PK2 2 days (Tu/Th)
PK2 3 days (M/W/F)
PK2 5 days
PK3 2 days (Tu/Th)
PK3 3 days (M/W/F)
PK3 5 days
PK4 3 days (M/W/F)
PK4 5 days
TK 5 days
*
Home E-Mail
Student 5
*
Last Name
*
First Name
Middle Name
Preferred Name
*
Date of Birth (mm/dd/yyyy)
*
Gender
<None>
Female
Male
Suffix
<None>
Race
<None>
African American
Asian
Caucasian
Hispanic
Native American
*
Select school year
<None>
2021-2022
*
Program Desired
<None>
PK2 2 days (Tu/Th)
PK2 3 days (M/W/F)
PK2 5 days
PK3 2 days (Tu/Th)
PK3 3 days (M/W/F)
PK3 5 days
PK4 3 days (M/W/F)
PK4 5 days
TK 5 days
*
Home E-Mail
Primary Family Information
Address Line 1
Address Line 2
City
State
ZIP Code
Home Phone
Home Listed
Mobile Phone
Mobile Listed
Parent 1 Information
*
Last Name
*
First Name
Middle Name
Preferred Name
Date of Birth
Marital Status
<None>
Divorced
Engaged
Married
Separated
Single
Widow
Widower
Suffix
<None>
Title
<None>
Dr.
Miss
Mr.
Mrs.
Ms.
Rev.
Church Affiliation
<None>
Lighthouse
Mt Zion United Methodist
Prestonwood Baptist
Prosper United Methodist
SPEC
Gender
<None>
Female
Male
Race
<None>
African American
Asian
Caucasian
Hispanic
Native American
*
E-Mail
*
Home Phone
*
Mobile Phone
Company Name
Business Phone
Extension
Job Title
Is Emergency Contact
Business E-Mail
Is Allowed to Pickup
Parent 2 Information
*
Last Name
*
First Name
Middle Name
Preferred Name
Date of Birth
Marital Status
<None>
Divorced
Engaged
Married
Separated
Single
Widow
Widower
Suffix
<None>
Title
<None>
Dr.
Miss
Mr.
Mrs.
Ms.
Rev.
Church Affiliation
<None>
Lighthouse
Mt Zion United Methodist
Prestonwood Baptist
Prosper United Methodist
SPEC
Gender
<None>
Female
Male
Race
<None>
African American
Asian
Caucasian
Hispanic
Native American
*
E-Mail
*
Home Phone
*
Mobile Phone
Company Name
Business Phone
Extension
Job Title
Is Emergency Contact
Business E-Mail
Is Allowed to Pickup
Secondary Family Information
Address Line 1
Address Line 2
City
State
ZIP Code
Home Phone
Home Listed
Mobile Phone
Mobile Listed
Parent 3 Information
*
Last Name
*
First Name
Middle Name
Preferred Name
Date of Birth
Marital Status
<None>
Divorced
Engaged
Married
Separated
Single
Widow
Widower
Suffix
<None>
Title
<None>
Dr.
Miss
Mr.
Mrs.
Ms.
Rev.
Church Affiliation
<None>
Lighthouse
Mt Zion United Methodist
Prestonwood Baptist
Prosper United Methodist
SPEC
Gender
<None>
Female
Male
Race
<None>
African American
Asian
Caucasian
Hispanic
Native American
*
E-Mail
*
Home Phone
*
Mobile Phone
Company Name
Business Phone
Extension
Job Title
Is Emergency Contact
Business E-Mail
Is Allowed to Pickup
Parent 4 Information
*
Last Name
*
First Name
Middle Name
Preferred Name
Date of Birth
Marital Status
<None>
Divorced
Engaged
Married
Separated
Single
Widow
Widower
Suffix
<None>
Title
<None>
Dr.
Miss
Mr.
Mrs.
Ms.
Rev.
Church Affiliation
<None>
Lighthouse
Mt Zion United Methodist
Prestonwood Baptist
Prosper United Methodist
SPEC
Gender
<None>
Female
Male
Race
<None>
African American
Asian
Caucasian
Hispanic
Native American
*
E-Mail
*
Home Phone
*
Mobile Phone
Company Name
Business Phone
Extension
Job Title
Is Emergency Contact
Business E-Mail
Is Allowed to Pickup
Contact Information (Other than parents)
Contact 1
*
Last Name
*
First Name
Relation
<None>
Aunt
Friend
Grandparent
Spouse
Brother
Father
Mother
Uncle
Sister
Neighbor
Cousin
Is Emergency Contact
Home Phone
Is Allowed to Pickup
Business Phone
Pickup License
Mobile Phone
Pickup Tag
Pickup Notes
Contact 2
*
Last Name
*
First Name
Relation
<None>
Aunt
Friend
Grandparent
Spouse
Brother
Father
Mother
Uncle
Sister
Neighbor
Cousin
Is Emergency Contact
Home Phone
Is Allowed to Pickup
Business Phone
Pickup License
Mobile Phone
Pickup Tag
Pickup Notes
Contact 3
*
Last Name
*
First Name
Relation
<None>
Aunt
Friend
Grandparent
Spouse
Brother
Father
Mother
Uncle
Sister
Neighbor
Cousin
Is Emergency Contact
Home Phone
Is Allowed to Pickup
Business Phone
Pickup License
Mobile Phone
Pickup Tag
Pickup Notes
Medical Contacts
Finished
Confirmation E-Mail address:
Please press the save button to submit the new student application.
